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1053719062
ELIZABETH PETERSON
MINNEAPOLIS, MN
NPI
1053719062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 7023)
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
-- ELIZABETH PETERSON LICSW
1910 HENNEPIN AVE
MINNEAPOLIS, MN 55403-3160
Phone number: 952-221-2510
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Mailing Address
-- ELIZABETH PETERSON LICSW
2700 E LAKE ST
MINNEAPOLIS, MN 55406-1963
Phone number: 612-873-8116
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